Suhrenbrock, Dale
Suhrenbrock, Dale is an sole proprietor health care provider with primary practice located at 1122 Vaughn Rd , Wood River IL 62095-1848. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Suhrenbrock, Dale can be contacted via phone (618) 259-2013.Contact Information
Primary practice address
1122 Vaughn Rd
Wood River IL 62095-1848
Phone: (618) 259-2013
Fax: (618) 259-2098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 051.031813 | Illinois |
| Pharmacy Service Providers / Pharmacist | 183500000X | 029774 | Missouri |
Profile Details
| NPI number | 1104109800 |
|---|---|
| LBN Legal business name | Suhrenbrock, Dale |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2011 |
| Last updated | Sep 20th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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